{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:52:41Z","timestamp":1785909161683,"version":"3.56.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":215,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study is to examine the relationships between cognitive flexibility, cognitive control, impulsivity and anger expression and intention to leave among emergency department nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This descriptive and cross\u2010sectional study was conducted with 295 nurses working in the emergency departments of seven hospitals in Ankara for at least 1\u2009year. Data were collected using a personal information form, the Impulsivity Scale, the Cognitive Control and Cognitive Flexibility Scale, the Anger Expression Scale and the Job Intention Scale. Descriptive statistics, independent group\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, one\u2010way analysis of variance (ANOVA), Pearson correlation and multiple regression analyses were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Regression analysis revealed that impulsivity, anger expression style and cognitive control\u2013flexibility together accounted for 5.3% of the variance in intention to leave, suggesting that additional organisational and environmental factors likely contribute to turnover intention. Impulsivity (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.138) and anger expression level (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.131) were positively associated with intention to leave, whereas higher cognitive control and flexibility were negatively associated with intention to leave (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.121). Correlation analyses similarly indicated significant positive associations between impulsivity and anger expression and intention to leave and significant negative associations between cognitive control and flexibility and intention to leave.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that impulsivity and anger expression patterns among emergency department nurses are associated with higher intention to leave. Cognitive control and cognitive flexibility may serve as important psychological resources potentially related to reduced turnover intention. Interventions aimed at strengthening nurses\u2019 cognitive and emotional regulation skills in high\u2010stress work environments such as emergency departments may contribute to workforce continuity; however, given the cross\u2010sectional design, causal interpretations should be made with caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Emergency department nurse managers should consider strategies that enhance nurses\u2019 cognitive control and cognitive flexibility as potential resources against turnover intention. Structured interventions such as stress management programs, emotional regulation training and leadership practices that foster supportive and psychologically safe work environments may help mitigate impulsivity and maladaptive anger expression. Integrating these approaches into workforce management and professional development plans could contribute to improved staff retention and organisational stability in high\u2010pressure clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6503308","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:41:16Z","timestamp":1785908476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Cognitive Flexibility and Cognitive Control on Turnover Intention: The Roles of Impulsivity and Anger Expression Among Emergency Nurses"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3177-0596","authenticated-orcid":false,"given":"Nukhet","family":"Bayer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0451-8611","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Turan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.02.009"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2025.07.017"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-019-1164-3"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2025004"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-021-00733-w"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2018.09.009"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare.14060772"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.13075\/ijomeh.1896.01567"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-009-9276-4"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-113011-143750"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v43n2e08"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2016.10.006"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2015.04.001"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2019.09.002"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2023.151699"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2023.101018"},{"key":"e_1_2_13_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2021.07.004"},{"key":"e_1_2_13_19_2","unstructured":"International Council of Nurses Recover to Rebuild: Investing in the Nursing Workforce for Health System Effectiveness 2023 https:\/\/www.icn.ch\/sites\/default\/files\/2023-07\/ICN_Recover-to-Rebuild_report_EN.pdf."},{"key":"e_1_2_13_20_2","unstructured":"Oecd Health at a Glance 2025: OECD Indicators 2025 https:\/\/www.oecd.org\/en\/publications\/2025\/11\/health-at-a-glance-2025_a894f72e\/full-report\/nurses_00c2bcb9.html."},{"key":"e_1_2_13_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-105849"},{"key":"e_1_2_13_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12771"},{"key":"e_1_2_13_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_13_24_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.761560"},{"key":"e_1_2_13_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699931.2017.1345893"},{"key":"e_1_2_13_26_2","doi-asserted-by":"publisher","DOI":"10.26650\/sp2019-0028"},{"key":"e_1_2_13_27_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.63.4.408"},{"key":"e_1_2_13_28_2","first-page":"335","article-title":"The Effect of Organizational Justice on Employees\u2019 Intention to Leave: An Application in the Republic of South Africa","volume":"10","author":"\u00d6r\u00fcc\u00fc E.","year":"2013","journal-title":"Mustafa Kemal University Journal of Social Sciences Institute"},{"key":"e_1_2_13_29_2","first-page":"159","volume-title":"Advances in Personality Assessment","author":"Spielberger C. D.","year":"1983"},{"key":"e_1_2_13_30_2","first-page":"26","article-title":"S\u00fcrekli \u00d6fke ve \u00d6fke Ifade Tarz\u0131 \u00d6l\u00e7ekleri \u00d6n \u00c7al\u0131\u015fmas\u0131","volume":"9","author":"\u00d6zer A. K.","year":"1994","journal-title":"T\u00fcrk Psikoloji Dergisi"},{"key":"e_1_2_13_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1"},{"key":"e_1_2_13_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/00207450600588881"},{"key":"e_1_2_13_33_2","doi-asserted-by":"publisher","DOI":"10.5455\/bcp.20121129015602"},{"key":"e_1_2_13_34_2","volume-title":"Using Multivariate Statistics","author":"Tabachnick B. G.","year":"2007"},{"key":"e_1_2_13_35_2","doi-asserted-by":"publisher","DOI":"10.21500\/20112084.5371"},{"key":"e_1_2_13_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2020.110231"},{"key":"e_1_2_13_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(00)00064-7"},{"key":"e_1_2_13_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2019.03.004"},{"key":"e_1_2_13_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.10.001"},{"key":"e_1_2_13_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2022.12.014"},{"key":"e_1_2_13_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2022.12.012"},{"key":"e_1_2_13_42_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1367"},{"key":"e_1_2_13_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.101106"},{"key":"e_1_2_13_44_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02624-2"},{"key":"e_1_2_13_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2834.2012.01437.x"},{"key":"e_1_2_13_46_2","doi-asserted-by":"publisher","DOI":"10.5465\/3069391"},{"key":"e_1_2_13_47_2","doi-asserted-by":"publisher","DOI":"10.54304\/SHYD.2024.38980"},{"key":"e_1_2_13_48_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare14101286"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/6503308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/6503308","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/6503308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:41:19Z","timestamp":1785908479000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/6503308"}},"subtitle":[],"editor":[{"given":"Saba","family":"Noor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/6503308"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/6503308","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6503308"}}